Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
vibegron · 6 trials · 3 indications
Adverse events were collected in participants from time each participant provided informed consent in parent study through Follow-up Visit (approximately 5 days after the last dose of study drug) in this extension study (URO-901-3006 \[NCT03902080\]). For the 28-Week Vibegron group, AEs recorded prior to initiation of vibegron (ie, while receiving placebo in the parent study) were reported as AEs in the parent study. An SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgement. A TEAE was defined as an adverse event which occurred on or after the first dose of study drug and no more than 30 days after the last dose of study drug. TEAE of \>5% has been reported.
Blood samples were collected for the analysis of hematology parameters - Hematocrit, hemoglobin, platelet count, white blood cells (WBC \[total and differential\]), and red blood cells (RBC).
Blood samples were collected for the analysis of chemistry parameters - Albumin, alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), bicarbonate, calcium, chloride, creatininea, glucose (fasting or nonfasting), potassium, sodium, total bilirubin, direct bilirubin, blood urea nitrogen (BUN), and total cholesterol.
Urine samples were collected for the analysis of urinary parameters- Blood, glucose, protein, specific gravity, microscopic exam (RBCs, WBCs, epithelial cells, and bacteria), potential of hydrogen (pH) and color
Blood samples were collected for the analysis of coagulation parameters- international normalized ratio (INR), prothrombin time (PT) and activated partial thromboplastin time (APTT).
Blood pressure measurements were taken with the participant in the sitting position. Baseline is defined as the last recorded value on or prior to the date of randomization in the parent study URO-901-3005. Change from Baseline was calculated as maximum post-Baseline value minus Baseline value.
Heart Rate was measured with the participant in the sitting position. Baseline is defined as the last recorded value on or prior to the date of randomization in the parent study URO-901-3005. CFB was calculated as maximum post-Baseline value minus Baseline value.
Micturition was defined as the number of times a participant voided in the toilet as indicated on the Bladder Diary. Baseline was defined as the last non-missing result on or prior to the randomization date. Change from baseline was calculated as the post-baseline value minus the baseline value. Daily Averages were calculated as the sum of the event type on Complete Diary Days divided by the number of Complete Diary Days.
Urgency was defined as the number of times a participant checked that they had the need to urinate immediately as indicated on the Bladder Diary. Baseline was defined as the last non-missing result on or prior to the randomization date. Change from baseline was calculated as the post-baseline value minus the baseline value. Daily Averages were calculated as the sum of the event type on Complete Diary Days divided by the number of Complete Diary Days.
Adverse events were collected in participants with overactive bladder (OAB) who previously completed treatment in Study RVT-901-3003. The treatment-emergent period was defined as the period of time from the first dose date of the active double-blind study treatment, whether in Study RVT-901-3003 or Study RVT-901-3004, through 28 days after the last dose of study treatment, or the date of initiation of another investigational agent or surgical intervention, whichever occurred first.
A micturition/void is defined as "Urinated in Toilet" as indicated on the Patient Voiding Diary (PVD). The number of micturitions is defined as the number of times a participant voided in the toilet as indicated on the PVD. The average daily number of micturitions was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of micturitions that occurred on a Complete Diary Day (CDD) divided by the number of CDDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures are study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL number of micturitions, and treatment by study visit interaction. FAS=Full Analysis Set.
The number of UUI episodes is defined as the number of times a participant had checked "urge" as the main reason for the leakage in the PVD, regardless of whether more than one reason for leakage in addition to "urge" was checked. The average daily number of UUI episodes was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of UUI episodes that occurred on a CDD divided by the number of CCDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when participant got up for the day each morning and time participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), BL number of UUI episodes and treatment by study visit interaction. FAS-I=Full Analysis Set for Incontinence.
An API Weekly Responder was defined as a participant who experienced a decrease in the weekly average of "worst abdominal pain in the past 24 hours" scores of at least 30% compared with the Baseline weekly average. A participant was considered a responder over Weeks 1 to 12 if they met the criteria for at least 50% of the weeks assessed (i.e., ≥6 weeks).
| Arm | Type | Description |
|---|---|---|
| Vibegron | EXPERIMENTAL | Participants will receive 75 milligrams (mg) vibegron orally once daily (QD). |
| Vibegron 75 mg | EXPERIMENTAL | Participants will receive vibegron 75 milligrams (mg) orally once daily for 24 weeks. |
| Placebo | PLACEBO_COMPARATOR | Participants will receive matching placebo orally once daily for 24 weeks. |
| Vibegron + Placebo to match Tolterodine | EXPERIMENTAL | - |
| Tolterodine + Placebo to match vibegron | ACTIVE_COMPARATOR | - |
| Placebo to match vibegron + Placebo to match Tolterodine | PLACEBO_COMPARATOR | - |
| Cohort 1: Weight >=41.5kg | EXPERIMENTAL | Part A: Participants will receive a dose of Vibegron based on their weight, with dose reduction based on individual clinical condition, PK, and safety/tolerability data. Participants may be dose-reduced up to 2 times. Part B: Participants will receive a Data and Safety Monitoring Board (DSMB)-selected Vibegron dose for their weight determined from participants in their respective cohort and weight band of Part A. |
| Cohort 2: Weight Range >=29.5 kg to <=41.4 kg | EXPERIMENTAL | Part A: participants will receive a dose of Vibegron based on their weight, with dose reduction based on individual clinical condition, PK, and safety/tolerability data. Participants may be dose-reduced up to 2 times. Part B: Participants will receive a DSMB-selected Vibegron dose for their weight determined from participants in their respective cohort and weight band of Part A. |
| Cohort 3: Weight range >=11 kg to <=29.4 kg | EXPERIMENTAL | Part A: Participants will receive a dose of Vibegron based on their weight, with dose reduction based on individual clinical condition, PK, and safety/tolerability data. Participants may be dose-reduced up to 2 times. Part B: Participants will receive a DSMB-selected Vibegron dose for their weight determined from participants in their respective cohort and weight band of Part A. |
| Name | Type | Description |
|---|---|---|
| Vibegron | DRUG | oral administration |
| Placebo | DRUG | oral administration |
| placebos | DRUG | placebo to match vibegron (experimental drug) and tolterodine (active comparator) |
| Tolterodine Tartrate ER | DRUG | single daily dose of 4 mg |
| Vibegron placebo | DRUG | placebo to match vibegron (experimental drug) |
| Tolterodine placebo | DRUG | placebo to match tolterodine (active comparator) |
Inclusion Criteria: * Participant has completed participation of the 24-week double-blind treatment period in Study URO-901-3005 (NCT03902080) and demonstrated compliance with the study procedures and study medication schedule in the opinion of the investigator. * Participant is capable of giving w...
Vibegron is a small molecule being developed for irritable bowel syndrome, overactive bladder, and neurogenic detrusor overactivity. It is currently in Phase 2 clinical development for these indications, with the most advanced trials being Phase 3 studies in overactive bladder that have already been completed.
Vibegron is being developed by Roivant Sciences Ltd., a biopharmaceutical company traded on the stock exchange under the ticker symbol ROIV. The company is conducting clinical trials to evaluate the drug's safety and efficacy across multiple urological and gastrointestinal conditions.
Vibegron is currently in Phase 2 clinical development. While several Phase 3 trials for overactive bladder have been completed, the drug remains investigational and is not yet approved by regulatory authorities. An active Phase 2 trial is recruiting pediatric patients with neurogenic detrusor overactivity.
Vibegron has been studied in four clinical trials. Completed Phase 3 trials include NCT03492281 and NCT03902080 for overactive bladder, plus extension study NCT04103450. An ongoing Phase 2 trial, NCT05491525, is recruiting pediatric patients aged 2 to under 18 years with neurogenic detrusor overactivity.
Vibegron is a distinct investigational small molecule developed by Roivant Sciences. It is not known to be marketed under any alternative names. The drug is being evaluated for its potential to treat overactive bladder, irritable bowel syndrome, and neurogenic detrusor overactivity.
Vibegron is a small molecule that acts as a beta-3 adrenergic receptor agonist, which helps relax the detrusor muscle of the bladder, increasing bladder capacity. This mechanism is being studied for its effects on overactive bladder and related conditions, though the specific molecular target for irritable bowel syndrome has not been detailed.